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212 E Wyandot Ave, Upper Sandsky, OH 43351-1432 | |
(419) 294-2421 | |
(419) 294-2499 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 212 E Wyandot Ave, Upper Sandsky, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265443907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | William Randall Knapp |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437131927 PECOS PAC ID: 0547394769 Enrollment ID: I20100810000524 |
Mailing Address | Practice Location Address |
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Po Box 540, Upper Sandsky, OH 43351-0540 Ph: (419) 294-2421 | 212 E Wyandot Ave, Upper Sandsky, OH 43351-1432 Ph: (419) 294-2421 |